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1 results

  • Salbutamol inhaler abuse and psychosis

  • Paul A Cotter
  • Journal:
    Irish Journal of Psychological Medicine / Volume 14 / Issue 2 / June 1997
    Published online by Cambridge University Press:
    13 June 2014, pp. 76-77
    Print publication:
    June 1997

  • A case is described in which a man with asthma and a history of alcohol dependence presented with a paranoid psychosis refractory to standard neuroleptic treatment. Symptomatic improvement was achieved when abuse of salbutamol (Ventolin®) metered dose inhaler was discovered and an alternative β2-agonist delivery system prescribed. A contribution by salbutamol to the psychosis is proposed. It is suggested that increased awareness regarding psychiatric morbidity is needed when metered dose salbutamol inhalers are prescribed.